非手术治疗急性外伤性脾破裂37例分析  

The Analysis of Non-operative Treatment For the 37 Acute Traumatic Rupture of Spleen Patients

作　　者：曹洪金 黄玉龙[1] 

机构地区：[1]四川省复员退伍军人医院,四川崇州611230

出　　处：《中国医疗前沿》2008年第11期35-35,37,共2页China Healthcare Innovation

摘　　要：目的探讨用非手术方法治疗急性外伤性脾破裂的可行性及适应症选择。方法回顾性分析我院1989年7月至2008年8月间用非手术方法治疗37例急性外伤性脾破裂的临床资料及治疗结果。结果37例病人均经腹部超声检查或CT检查明确诊断,其损伤分级为I级损伤27例,II级损伤9例,III级损伤1例,有合并伤3例,经非手术治疗痊愈出院。结论用非手术方法选择性治疗急性外伤性脾破裂是一种较安全有效的治疗手段。Objective To investigate the probability and indication of the non-operative treatment for the acute traumatic rupture of spleen.Methods To review the clinical data and the effect of the 37 patients with acute traumatic rapture of spleen from July, 1989 to August, 2008.And the 37patients were all treated with the non-operative treatment .Results The 37patients were confirmed diagnosis by abdominal ultrasound examination or abdominal CT. 27 patients were degree Ⅰ, 9 patients were degree Ⅱ,lpatient was degree Ⅲ,and 3 patients were associated injury. All the 37 patients healed with the non-operative treatment.Conclusion The non-operative treatment was secure and efficacious to selectivly treat with the patients of acute traumatic rupture of spleen.

关 键 词：脾脏 脾破裂 非手术治疗 

分 类 号：R657.62[医药卫生—外科学]